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Individual

LI FLORENCE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8311 FLORENCE AVE., DOWNEY, CA 90240
(562) 923-4911
(562) 904-2060
Mailing address
1665 SCENIC AVE. SUITE 100, COSTA MESA, CA 92626
(714) 838-9677

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11258
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003627420
MEDI CAL
CA
Enumeration date
09/29/2005
Last updated
12/05/2012
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